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《Hospital Administration Journal of Chinese People's Liberation Army》 2018-02
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Investigation on Dual Referral between Naval Medical Institutions

SHUAI Li;XU Ping;OU Chongyang;LI Cheng;XU Xiangyang;ZHANG Lulu;Faculty of Health Service,Second Military Medical University;Division of Medical Affairs,No.413 Hospital of PLA;  
Objective To explore dual referral between naval primary medical institutions and hospitals.Methods 900 service men from 9 units,24 military surgeons from 4 primary medical institutions and 35 military surgeons from 2 hospitals were investigated into smoothness of process for medical service,medical seeking behavior,medical and technical level of primary medical institutions and hospitals,and structuring of medical service system. Results 78. 2% of all medical surgeries believe that process for medical service is smooth and 58. 2% of them believe that system integration of primary medical institution and hospital is the most effective medical service system,71. 8% of serviceman would choose primary medical institution for first diagnosis,medical and technical level of primary medical institution and hospital has a great distance. Conclusion Upward referral is common but downward referral is difficult. Efforts should be made to establish the integration mode of medical service,strengthen dual referral system construction and publication,improve ability of primary medical institutions and perfect examination system of dual referral.
【Fund】: 全军后勤科研计划(CWS14R062、CHJ16L041)
【CateGory Index】: R82
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